Pain in nipple???

I had a breast lift and augmentation in February. Everything has healed fine except for one thing. On my right nipple their is one small spot (on the scarline) approx 1 cm long that always hurts. I don't know if this may be over-sensitivity? This part of the nipple looks no different to other parts (sometimes I think its redder but not noticeably)! The scar in this spot has healed extremely well too! So what can be done to resolve this and what could this be?"

[Howard Rosenberg, MD]

Whle I cannot be certain, a common cause of localized pain may be related to chronic irritation from a deep suture.  There is no identifiable nerver that specifically innervates the nipple, but the problem could also be deep referred pain from deep within the breast.  A trial of a small injection of local anesthesia into the area to see if this alleviates the problem might also be attempted by your surgeon.